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- W2000233604 abstract "Unusual appearances on a bone scan are demonstrated in a 60-year-old retired man who presented with several months’ history of generalized weakness, fatigue, backache, and weight loss. He had worked as a welder for 30 years. Medical history included rheumatoid arthritis and type 2 diabetes mellitus. On clinical examination, he was mildly breathless; however, the rest of the systemic examination was unremarkable. Laboratory investigations revealed mildly elevated serum ferritin and liver transaminases. Computed tomography showed widespread emphysema, apical pulmonary fibrosis, and mediastinal lymphadenopathy. In view of the persistent backache, and computed tomography findings of adenopathy, a bone scan was performed to rule out underlying bony metastatic disease. Bone scan revealed multiple focal areas of uptake within the joints consistent with rheumatoid arthritis. Focal areas of uptake on the bone scan were also seen in the mid thorax anterior to the spine. This was subsequently confirmed to be within the mediastinal nodes on localization by single slice SPECT (single photon emission computed tomography)/Hawkeye GE Millennium VG. Mediastinoscopy and biopsy revealed aluminum particles in the mediastinal lymph nodes." @default.
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- W2000233604 date "2009-01-01" @default.
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- W2000233604 title "Thoracic Scintigraphy in Aluminosis" @default.
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- W2000233604 doi "https://doi.org/10.1097/rlu.0b013e31818f441a" @default.
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